Henderson RepositoryThe DSpace digital repository system captures, stores, indexes, preserves, and distributes digital research material.https://www.nursingrepository.org:4432018-11-14T18:43:44Z2018-11-14T18:43:44ZA 10-Year Journey Toward an Accountable and Sustainable Patient-Centered Care ModelAguilera, Jose M.Walker, Kim N.http://hdl.handle.net/10755/6215092018-11-13T09:40:09Z2017-06-16T00:00:00ZA 10-Year Journey Toward an Accountable and Sustainable Patient-Centered Care Model
Aguilera, Jose M.; Walker, Kim N.
<p><strong>Purpose: </strong><span> The provision of an accountable and sustainable healthcare system is a major challenge worldwide. The delivery of a patient-centred care model that is accessible, safe, reliable and affordable remains elusive for many organisations. Over the past decade, St Vincent’s Private Hospital Sydney has implemented three frameworks – the Balanced Scorecard, the Magnet Recognition Program® and a revenue cycle management program – to address this challenge and strive towards the delivery of an accountable and sustainable patient-centred care model.The aim of this research was to analyse the financial, clinical and cultural impact of the three frameworks implemented at St Vincent’s Private Hospital to improve its overall performance and sustainability.</span></p>
<p><strong>Methods: </strong> The research design adopted was a modified sequential, explanatory mixed-method organisational single-case study design. The quantitative component of the study consisted of a cost-benefit analysis of the past 10 years of the implementation of the Balanced Scorecard, the Magnet Recognition Program® and a prospective analysis of the implementation of a revenue cycle management program. The qualitative component of the research study comprised semi-structured interviews and focus groups to analyse the impact of these frameworks on the participants’ roles and functions and linking their feedback with the findings of the quantitative component of the study.</p>
<p><strong>Results: </strong> The overall findings suggest that the combined impact of these three frameworks may have assisted St Vincent’s Private Hospital in its journey towards an accountable and sustainable patient-centred care model. The quantitative component of the study established that improved quality and safety outcomes, patient and staff experience, and greater efficiencies and savings may have been realised through the individual as well as the combined implementation of these frameworks. The qualitative component of the study explained the varying degrees of understanding of these frameworks by the nursing staff, and how the frameworks may have assisted them in achieving improved performance. In terms of the level of support for the three programs from the nursing staff, the study indicated that the Magnet Recognition Program® received the highest level, which was quite significant. The Balanced Scorecard was second in the level of support received and the revenue cycle management program was third.</p>
<p><strong>Conclusion:</strong></p>
<p>Analysis of the individual and cumulative impact of the Balanced Scorecard, the Magnet Recognition Program® and the revenue cycle management program, indicates that using these frameworks in combination may have assisted St Vincent’s Private Hospital in improving its overall performance. In addition, the findings of this research advocate and support the incorporation of these three frameworks into a single, integrated patient-centred care model. However, further research is required to test this proposition empirically.</p>
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship
2017-06-16T00:00:00Z1000 Days Engagement Model: Promoting Positive Relational Health for Vulnerable Maori Families in New ZealandRichard, Lauraliehttp://hdl.handle.net/10755/6164202018-11-13T09:35:28Z2016-07-13T00:00:00Z1000 Days Engagement Model: Promoting Positive Relational Health for Vulnerable Maori Families in New Zealand
Richard, Lauralie
Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: Whanau Ora is a cultural praxis promoting Maori (Indigenous people of New Zealand) health and wellbeing for whanau (Maori families). Foundational to recent service delivery reforms, whanau-centered approaches still remain poorly translated into current practice and meaningful ways of engaging with whanau often lack empirical grounds. The 1000 Days Trust is a community-led residential program developed with the collective vision of promoting positive relational health and wellbeing for vulnerable whanau in Southland, New Zealand. Here we present a model of engagement which articulates core principles of how relational connections develop and translate into meaningful experiences of engagement for whanau, clinical staff and community partners within 1000 Days. The purpose of this poster presentation is to present the 1000 Days engagement model; a purposefully designed model founded on Maori cultural praxis to inform the development of meaningful connections with vulnerable whanau (Maori families), clinical staff and community partners within a residential program aimed at promoting positive relational health and well-being. Methods: A descriptive case study is undertaken as part of the 1000 Days collaborative research program. A participatory approach is foundational to the conduct of this research. Semi-structured interviews with whanau (25), clinical staff at the residence (7) and community partners (12) are conducted to describe the relational practice of engagement within 1000 Days. Participant observation is conducted during visits at community organisations, local health and social Government agencies and meetings with community representatives to describe the context within which meaningful connections occur. Data is subjected to qualitative thematic analysis and will be discussed with community partners. Results: Core interrelated components and processes support engagement practice within 1000 Days: placing whanau needs and aspirations at the centre of services; promoting whanau self-determination and autonomy; developing a culturally competent workforce to support whanau in achieving their goals and connecting with appropriate services in the community; creating early connections with whanau and community partners to build trust and reciprocal relationships; ensuring a presence in the community to raise collective awareness and promote shared responsibility towards whanau health and wellbeing; building interactions with whanau founded on a positive vision of health which focuses on whanau strengths and resources and relies on cultural knowledge and values; strengthening existing relationships between community organisations and 1000 Days to build sustainable networks of supportive and accessible services for whanau. Conclusion: This study highlights key components and processes of a relational practice of engagement underpinned by local knowledge, cultural realities and context dynamics as a foundation to promote positive relational health for whanau.
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy
2016-07-13T00:00:00Z1991-2015 Longitudinal Prevalence Trends of Suicide Ideation Among High School Students in the U.S.Zheng, Yu-hanChen, Yu-kuSheu, Jiunn-Jyehttp://hdl.handle.net/10755/6224752018-11-13T09:59:16Z2017-07-28T00:00:00Z1991-2015 Longitudinal Prevalence Trends of Suicide Ideation Among High School Students in the U.S.
Zheng, Yu-han; Chen, Yu-ku; Sheu, Jiunn-Jye
<p><span>This study was designed to describe the longitudinal prevalence trends of high school students who had suicide ideation one or more times and to compare them in the different grade levels, genders, and races/ethnicities (African American, Caucasian, and Hispanic/Latino).</span></p>
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship
2017-07-28T00:00:00Z1991-2015 Trends of Adolescent Smoked First Whole Cigarette Before Age 13 in the U.S.Chen, Yu-kuZheng, Yu-hanSheu, Jiunn-Jyehttp://hdl.handle.net/10755/6224722018-11-13T09:59:14Z2017-07-28T00:00:00Z1991-2015 Trends of Adolescent Smoked First Whole Cigarette Before Age 13 in the U.S.
Chen, Yu-ku; Zheng, Yu-han; Sheu, Jiunn-Jye
<p><span>Tobacco use since young increases the risk of harmful health effects and lifelong nicotine addiction. The literature has studies that reported adolescent's first whole cigarette smoking before the age 13 prevalence trends. This study aimed to bridge the gap by further identifying the sex-grade-race/ethnicity specific risk groups.</span></p>
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship
2017-07-28T00:00:00Z